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4%MO':USTODY RECORD <br /> E OYAJIAZ ' <br /> Environmental 9608008134- BOYAJI AN&RO$ aalh <br /> 1320 East Shaw Aver .l: ti w <br /> Tet. (209) 225- ,r ,AA CArk- <br /> -._ v AAM 1'1 <br /> Billing:—__ ��I� ��� - ANALYSIS REQUESTED TURNAROUND <br /> (D <br /> rm,mo Cir X 3 7 Q !. 00 c m <br /> ID RUSH C3 _ -_ HR. <br /> a `o <br /> oC ROUTINE <br /> Attn:— EkW rAa P.O. # C)Report BOYA.JIAN&ROSS, INC. r t X i ►�. O 0 NOTES: <br /> 1320 EAST SHAW AVENUE SUITE 155 o { <br /> FRESNO CA 93710 <br /> Atte: - r � vti/la�rrL � � E <br /> SAMPLE LAB <br /> x n Z REMARKS- <br /> SAMPLE <br /> DATE TIME NO. I.D. NO. k Preservation, Handling,) <br /> or Observations <br /> SaVh #C'_ Tint?b <br /> W �C X `Z ha,rG b �� ed <br /> •`#S �[17� 1 (p wix x s �Itye rwau��Nc r <br /> . 'II �( �( ie� <br /> LZ I ah p�Gi 1u <br /> r I <br /> i <br /> 7' k <br /> is <br /> ' Loil, Water, Vapor, Other) Total No. of Contalners <br /> SPECIAL INSTRUCTIONS: Nok :Z P 8 'i3 a JcJ 'm .5,,- <br /> M y4enC.�s �' Y4k� iw cl �'Z 66- I <br /> I <br /> i <br /> RELINQUISHED TO: SAMPLE RECEIPT- <br /> Printed- <br /> ECEIPTPrinted: Company: ❑ Received in Good Condition <br /> Signature: Date: Time: ❑ Samples Properly Cooled, Temp. <br /> RECEIVED FROM: ❑ Proper Containers <br /> Printed: <br /> Company: <br /> Method of Shipment: 1 <br /> Signature: Date: Time: I <br /> REUNQUIS BY: - - <br /> l� Comments: <br /> Printed: I&A 14 i <br /> Company: <br /> Signature: <br /> Date:Is/ Time: <br /> f <br /> RECEIVED BY: (LAB) <br /> Printed: Zn�r1LACompany: <br /> Signature: r Date: 4`6 Time: 1 <br /> DISTRIBUTION: White - Return to B&R w/ Reports Canary - Laboratory Pink AJLR CZ-1.r <br />